- Medicare Mental Health Clinic in Ft. Wayne, IN

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is a medicare enrolled mental health clinic (Psychologist - Prescribing (medical)) in Ft. Wayne, Indiana. The current practice location for is 423 Airport N. Office Park, Ft. Wayne, Indiana. For appointments, you can reach them via phone at (260) 969-5583. The mailing address for is 423 Airport N. Office Park, Fort. Wayne, Indiana and phone number is (260) 969-5583.

is licensed to practice in Indiana (license number 70000153A). The clinic also participates in the medicare program and its NPI number is 1285839480. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (260) 969-5583.

Contact Information

423 Airport N. Office Park
Ft. Wayne
IN 46825-6704
(260) 969-5583
(260) 969-5584

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityPsychologist
Location423 Airport N. Office Park, Ft. Wayne, Indiana
Authorized Official Name and PositionSharon E Freeman Clevenger (OWNER)
Authorized Official Contact2609695583
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

423 Airport N. Office Park
Fort. Wayne
IN 46825-6704

Ph: (260) 969-5583
423 Airport N. Office Park
Ft. Wayne
IN 46825-6704

Ph: (260) 969-5583

NPI Details:

NPI Number1285839480
Provider Enumeration Date06/18/2007
Last Update Date04/23/2019

Medicare PECOS Information:

Medicare PECOS PAC ID5799714838
Medicare Enrollment IDO20050809000261

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285839480NPI-NPPES
7585825OtherINAETNA
376137OtherINANTHEM
386107OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0100XPsychologist - Health Service 20042050A (Indiana)Secondary
103TP0016XPsychologist - Prescribing (medical) 70000153A (Indiana)Primary
106H00000XMarriage & Family Therapist 35001565A (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSharon Freeman Clevenger
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1174527899
PECOS PAC ID: 1456314855
Enrollment ID: I20041106000204

Reviews and Comments

Psychologist in Ft. Wayne, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.